![]() ![]() Dental evaluation follows the DC Medicaid HealthCheck Dental Periodicity Schedule (PDF).Speech and language: evaluate the infant’s or child’s communication abilities in comprehension, expressive language, speech development, and social language.Development: indicate tool used (Denver Developmental II or other): see areas of development (PDF) to be recorded.Required at all visits according to the DC Medicaid HealthCheck Periodicity Schedule.Document document if an unsuccessful attempt.Additional screenings required at 5,6,8,10,12,15,18 years according to the DC Medicaid HealthCheck Periodicity Schedule.Document visual acuity (for both left eye and right eye) and indicate document if an unsuccessful attempt.Required at 3,5,6,8,10,12,15,18 years according to the DC Medicaid HealthCheck Periodicity Schedule.Ask the family about dietary practices to identify unusual eating habits or diets that are deficient in nutrients and calories, or excessive in cholesterol and fat.For 0-18 months: Breastfed or formula fed?. Record accurate measurements of the child's height and weight-these are among the most important indices of nutritional status.For more information, see the Physical Exam module in the HealthCheck Extended Training.For 7-21 years: include neck/nodes breasts: SMR (Tanner): genitalia (pelvic as indicated): SMR (Tanner).For 2-21 years: Dental visit in last 12 months?.For 6 months-21 years: include dental (dental referral required yearly 3-21 years and at earlier ages if necessary).See areas of development (PDF) to be recorded. For 0-5 years: Assess nutrition, elimination, environment, and sleep patterns.General appearance head/neck/fontanelle (in infants) eyes (Red Reflex from 1 week-2 1/2 years) ears/nose/mouth/throat chest/lungs heart/pulses abdomen genitalia/rectum extremities/hips back skin/hair neurologic. For all visits: indicate unclothed exam.For more information, see the Health History module in the HealthCheck Extended Training.Dental visit in last 12 months? (dental referral required yearly 3-21 years and at earlier ages if necessary).For 6-21 years, record comments on: home education emotional/behavior exercise activities/friends diet/eating behavior drug/alcohol/tobacco sleep sexual awareness/activity abuse/violence menarche LMP. Items of note: Record child care for 0-5 years record preschool for 2-5 years.For all visits: review social/family history with patient/guardian (or with teen for adolescent visits) and document.All visits: Interval history completed? list current medications.Newborn: Record a birth history issues/complications during pregnancy (list medications, illnesses, drugs, ETOH) gestational age birth weight APGARS complete a newborn history by 9 months.Screening ServicesĪ HealthCheck visit must include ALL of the following (click to see details): Comprehensive Health and Developmental History If a child comes under care for the first time at any point on the schedule, or if any items are not done at the suggested age, the schedule should then be brought up to date as soon as possible. Additional visits or interperiodic screens may become necessary if circumstances suggest the need for more screens, i.e., medical conditions, referral by parent, Head Start, DC Public Schools, Early Intervention Programs. The recommendations are for the care of children who have no manifestation of any important health problems. The DC Medicaid HealthCheck Periodicity Schedule follows the American Academy of Pediatrics (AAP) health recommendations in consultation with the local medical community. While not required by HealthCheck, you may want to record details of the following:.Record the following, remembering that complete documentation is a goal:.įor all HealthCheck visits, be sure to indicate whether first or periodic visit and list drug allergies. With the rapid adoption of Electronic Medical Records (EMRs) in DC's pediatric community, the challenge is to ensure that the required information needed for a complete HealthCheck visit is captured electronically.Ĭlick on the letters below to see the specific data points necessary in recording HealthCheck visits in EMRs. Specific information must be documented for a well-child visit to count as a reimbursable HealthCheck visit. ![]()
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